| Michaela Mondo, | |
| 6167 W Quaker St, Orchard Park, NY 14127-2640 | |
| (716) 662-4800 | |
| (716) 662-5700 | 
| Full Name | Michaela Mondo | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 6167 W Quaker St, Orchard Park, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033734116 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 030938 (New York) | Secondary | 
| 235Z00000X | Speech-language Pathologist | 41YS01257800 (New Jersey) | Primary | 
| Provider Name | Expressable Therapy Of New Jersey Pc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1811615685 PECOS PAC ID: 2062889512 Enrollment ID: O20221114000525 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michaela Mondo, 4054 Capstone Cir, Williamsville, NY 14221-7389 Ph: (585) 330-9429 | Michaela Mondo, 6167 W Quaker St, Orchard Park, NY 14127-2640 Ph: (716) 662-4800 | 
| Mrs. Wendy Maureen Kilburn, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
| Linda Beyer,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3580 Eggert Rd, Orchard Park, NY 14127 Phone: 716-209-6215 | |
| Ms. Elizabeth P Hanson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
| Stacy Lynn Berchou, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
| Bridget Ann Palmer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
| Maureen Patricia Kicinski, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 |